The nurse is assessing a preverbal child who keeps pulling on his ear. The nurse knows that this behavior is one way that children express:
a. frustration c. hunger
b. irritability d. pain
D
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A Incorrect. Frustration is not a common manifestation of acute otitis media, expressed by the child pulling on his ear.
B Incorrect. Irritability is another common manifestation of acute otitis media, but expressed by the child pulling on his ear.
C Incorrect. Hunger is not an expression of acute otitis media.
D Correct. A primary characteristic of acute otitis media is pain. Nonverbal and preverbal children may express pain by tugging or pulling at their ears.
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